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Our technology is designed to revolutionize healthcare in the same way that EDI revolutionized banking. It provides a common, standards-based approach for managing content to support medical event information storage; assist in comprehensively analyzing healthcare transactions, and facilitate conversion of data across all specialties and practices using a common set of data formats and concepts. Use of this technology helps ensure accuracy and completeness in the communication of healthcare information.

The nature of our technology allows us to apply it across the entire health data chain including providers, payers, care management and analytics organizations, consumers, pharmaceutical firms, clinical research entities, healthcare IT vendors and content service companies.


Payor
Those processing medical claims depend on the use of numerous administrative codes and medical terminology to perform these tasks.  Typically, five to fifteen different code and medical terminology sets are used within a processing environment. When updates to these code sets are made available from the different standards bodies, the challenge is to accurately incorporate these updates in a timely manner -- and keep them relevant to the adjudication rules already established within the processing system. This updating process is streamlined with the use of the LE solution.

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Provider
Providing care across multiple facilities, care settings, locations and departments also means supporting multiple systems for the collection of clinical and administrative data to support care delivery and billing services. With multiple systems comes the challenge of maintaining a synchronized version of clinical concepts and terms along with administrative code sets. Properly updating and maintain specific concepts over time within the data sets is imperative for accurate clinical records management, enabling organizations to optimize billing and collections. The LE solution streamlines this update process.

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HIT & Content Service Vendor
HLI takes on the task of vocabulary management, which frees vendors to work on features that differentiate their products in the marketplace. HLI has designed its toolset to help them manage terminology with their applications, thereby reducing time-to-market and development costs by supplying the state-of-the-art infrastructure upon which to build key application functionality. This decreases the cost of customizations and localization requirements, which results in more flexible and adaptable applications.

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Care Management
Being able to identify and communicate with patients concerning their care plans necessitates the need for adequate clinical direction and the ability to translate medical terminology and administrative codes sets into consumer-friendly terms. The LE Solution provides the technology and services to link these terminologies and bring these three worlds together.

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Analytics

To maintain accurate data for research outcomes, organizations must keep its Controlled Medical Vocabularies updated, current and versioned by date. HLI’s LE solution provides an organization with the tools to map historical evidence to currently recognized industry standard terms. LE can also deliver a content and modeling tool set to help an organization build, manage, model, map and publish its own proprietary research data.


Clinical Research

To maintain accurate data for research outcomes, organizations must keep its Controlled Medical Vocabularies updated, current and versioned by date. HLI’s LE solution provides an organization with the tools to map historical evidence to currently recognized industry standard terms. LE can also deliver a content and modeling tool set to help an organization build, manage, model, map and publish its own proprietary research data.


Pharmaceuticals
With multiple different standard content sets in use today containing different formulary standards, conducting and accurately reporting on medications across multiple source systems requires HLI’s LE solution. LE can load  all the proprietary and country specific medication formularies and use specially-designed scripts to simplify the mapping (or the crosswalk) between different formularies.

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International
The management of Controlled Medical Vocabularies is a worldwide challenge. While some terminologies have emerged as recognized standards worldwide (i.e. SNOMED CT from IHTSDO), many countries and regions continue to rely on local and regional content sets to support the clinical and administrative code set requirements. HLI has been delivering content set management, international mapping services and content tools to countries, healthcare IT vendors and systems integrators around the world for eight years.

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